Prioritization and delegation
Which patient would you see first: A patient requesting pain medication for chronic back pain rated 4/10 or A patient who is short of breath after ambulating in the hallway?
Who is, a patient who is short of breath after ambulating in the hallway
What term directs nurses to act in ways that avoid harm to others, including even the risk of harm.
What is nonmaleficence?
Which learning domain is it when an individual gains information to further develop intellectual abilities, understanding, and thinking processes?
What is the cognitive domain?
What is the correction procedure for documentation errors in the EHR or paper chart?
What is a single-line strike through with initials, date and time
Surgical asepsis is also known as 'what' technique?
What is, sterile technique
Which nursing diagnosis represents the highest priority:
What is, Impaired Gas Exchange related to pneumonia
A patient's agreement to have a medical procedure after receiving full disclosure of risks, benefits, alternatives, and consequences of refusal
What is, Informed Consent?
What is one of the most important predictors of health outcomes because it influences whether an individual has the skills needed to manage health and prevent disease?
What is health literacy?
Who can access patient information in their EHR?
Who is, only those team members directly involved in that patients' care
A legally competent patient with end-stage renal disease refuses dialysis treatment despite understanding it is life-sustaining. The patient states, "I've lived a good life and I'm ready." What term is this patient exercising?
What is the right to autonomy
A patient recovering from surgery states, "I'm worried about being able to return to work on time." Would the nurse classify this as a low, medium, or high priority concern?
What is, Low priority at this time
You overhear another nurse with a confused patient, threatening to restrain them if they don't stop getting out of their bed. What are these nurses actions an example of?
What is assault?
A patient with coronary artery disease views required lifestyle modifications as burdensome. The nurse works with the patient to reframe these changes as positive opportunities for health. Which learning domain is the nurse targeting?
What is the affective domain?
What does PIE stand for in terms of documentation?
What is problem, intervention, and evaluation
What entity defines the scope of practice—the range of permissible nursing activities?
Who is, the state BON or Board of Nursing
Name 2 tasks that would be appropriate to delegate to a UAP
What are: Basic patient needs, including hygiene, meal assistance, ambulation, ADL assistance, bathroom assistance
A nurse applies a warm compress to a patient, and it results in the patient being burned. What is this act an example of?
What is, negligence?
What is a closed-loop communication technique that assesses patient retention of the information given during a teaching session?
What is known as teach-back?
Name 2 key advantages of the EHR
What does the acronym SBAR stand for, and what is it used for?
What is situation, background, assessment and recommendations. The SBAR is a reporting method
An RN delegates vital sign measurement to an AP. What is the RN's responsibility after delegation?
What is, the RN remains accountable for evaluating whether the task was performed properly
What is the terminology for the 'concern for the welfare and well-being of others'?
What is altruism?
After performing teach-back education, is documenting "patient education provided" appropriate? (yes/no) Then justify your answer
No; Fails to meet legal responsibility, quality standards, and continuity of care needs. Document what was taught, how patient demonstrated understanding, and any need for reteaching
Nurse documented. "pt. wound has improved since yesterday, no changes, pt states "my pain is better, the pain meds have been helping last night." Improve this documentation
Pt wound has decreased in size, now measures 2cm x 2.5 centimeters, pt pain has decreased, states pain 3/10, prior 8/10
While completing a sterile dressing change on a patient, another one of your patients calls out due to increasing dizziness and symptoms of hypoglycemia. Who can you delegate to?
Who is, another RN within your unit, or even charge nurse. Sterile procedure has to be performed by a nurse, and other patient is not stable